What is the HCR-20? – Historical Clinical and Risk Management 20

The Historical, Clinical and Risk Management – 20 (HCR -20) is a structured tool to assess the risk of violence. The items are below.

Historical items

H1 Violence

  • As a child (under 12 years)
  • As an adolescent (13-17 years)
  • As an adult (18 and over)

H2 Other antisocial behaviour

  • As a child
  • As an adolescent
  • As an adult

H3 Relationships

  • Intimate
  • Non-intimate

H4 Employment

H5 Substance use

H6 Major mental disorder

  • Psychotic disorders
  • Major mood disorders
  • Other major mental disorders

H7 Personality disorder

  • Antisocial, psychopathic, dissocial
  • Other

H8 Traumatic experiences

  • Victimisation/trauma
  • Adverse childrearing experiences

H9 Violent attitudes

H10 Treatment or supervision response

Clinical Items

C1 Insight

  • Mental disorder
  • Violence risk
  • Need for treatment

C2 Violent ideation or intent

C3 Symptoms of major mental disorder

  • Psychotic disorders
  • Major mood disorders
  • Other major mental disorders

C4 Instability

  • Affective
  • Behavioural
  • Cognitive

C5 Treatment or supervision response

  • Compliance
  • Responsiveness

Risk management

R1 Professional services and plans

R2 Living situation

R3 Personal support

R4 Treatment or supervision response

  • Compliance
  • Responsiveness

R5 Stress or coping

 

Reference

HCR-20
Webster, C. D., Douglas, K. S., Eaves, D., & Hart, S. D. (1997). HCR-20: Assessing Risk for Violence (Version 2). Burnaby, British Columbia, Canada, Simon Fraser University. Mental Health, Law, and Policy Institute.